Practice Patterns Contributing to Positive Patient Outcomes by Nurse Practitioners

Purpose: The purpose of this study was to identify NP practice patterns most important for positive patient outcomes. Data Sources: A convenience sample (n = 93) of Nurse Practitioners attending the 2005 California Association for Nurse Practitioners Conference (N = 535) completed the survey. Conclusions: The most important practice patterns identified were associated with patient-centered care. When analyzed with years in practice, patient-centered practice patterns continued to be the most important. This study suggests that patient-centered practice patterns are most important to positive patient outcomes for NPs. Implications for practice: Identifying the practice patterns that are most important to positive patient outcomes creates a distinct picture of the quality of care that is unique to nursing. As the role of NP continues to expand and be defined, these practice patterns will provide evidence of the unique quality of care given by the NP profession

Information structure and the accessibility of clausally introduced referents

This paper will examine the role of various factors in affecting the salience, and hence the accessibility to pronominal reference, of entities introduced into a discourse by a full clause. We begin with the premise that the possibility of pronominal reference with it versus that depends on the cognitive status of the referent, in the sense of Gundel, Hedberg and Zacharski (1993). This formulation of the problem provides grounds for an explanation of the data presented above, and provides a framework within which we examine the role of various other factors in promoting the salience of a clausally introduced entity, including the information structure of the utterance in which the entity is introduced. For entities introduced by clausal complements to bridge verbs, we show that the information structure of the utterance introducing the entity has a partial, or one-sided, effect on the salience of the entity. When the complement clause is focal, the salience of the entity depends only on its referential givenness-newness (in the sense of Gundel 1988, 1999b), as we would expect. But when the complement clause is ground material, the salience of an entity introduced by the clause is enhanced. Other factors, including the presuppositionality of factive and interrogative complements, also serve to enhance the salience of entities introduced by complement clauses

NP-complete Problems and Physical Reality

Can NP-complete problems be solved efficiently in the physical universe? I survey proposals including soap bubbles, protein folding, quantum computing, quantum advice, quantum adiabatic algorithms, quantum-mechanical nonlinearities, hidden variables, relativistic time dilation, analog computing, Malament-Hogarth spacetimes, quantum gravity, closed timelike curves, and "anthropic computing." The section on soap bubbles even includes some "experimental" results. While I do not believe that any of the proposals will let us solve NP-complete problems efficiently, I argue that by studying them, we can learn something not only about computation but also about physics.Comment: 23 pages, minor correction

Disaggregating Employment Protection: The Case of Disability Discrimination

Studies of the effects of employment protection frequently examine protective legislation as a whole. From a policy reform perspective, however, it is often critical to know which particular aspect of the legislation is responsible for its observed effects. The American with Disabilities Act (ADA), a 1990 federal law covering over 40 million Americans, is a clear case in point. Several empirical studies have suggested that the passage of the ADA reduced rather than increased employment opportunities for individuals with disabilities. To the extent this is true, it is crucial to credibly disentangle the different features of this complex and multi-faceted law. Separately evaluating the distinct aspects of the ADA is important not only for determining how the law might best be reformed if some aspects of it produce negative employment effects, but also for improving our understanding of the potential consequences of ADA-like provisions in race and other civil rights laws. This paper exploits state-level variation in pre-ADA legal regimes governing disability discrimination to separately estimate the employment effects of each of the ADA's two primary substantive provisions. We find strong evidence that the immediate post-enactment employment effects of the ADA are attributable to its requirement of "reasonable accommodations" for disabled employees rather than to its potential imposition of firing costs for such employees. Moreover, the pattern of the ADA's effects across states suggests, contrary to widely discussed prior findings based on national-level data, that declining disabled employment after the immediate post-ADA period reflects other factors rather than the ADA itself.